Provider Demographics
NPI:1013122753
Name:JONES, CHRISTOPHER RIDDELL JR (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RIDDELL
Last Name:JONES
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N LAKELINE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2089
Mailing Address - Country:US
Mailing Address - Phone:512-617-3000
Mailing Address - Fax:512-309-7034
Practice Address - Street 1:200 N LAKELINE BLVD STE A
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2089
Practice Address - Country:US
Practice Address - Phone:512-617-3000
Practice Address - Fax:512-309-7034
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3104207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX214095602Medicaid
TX214095602Medicaid